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General NPI Number Information
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NPI Number | 1477706711
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Entity Type | Organization
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Legal Business Name | SUNSHINE GOLD CARE, INC
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Dates
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Enumeration Date | 10/30/2008
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Last Update Date | 06/09/2010
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Provider Practice Location Address
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Address Line | 1820 NE 163RD ST SUITE 204
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City | N MIAMI BEACH
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State | FL
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Zip | 33162-4801
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Country | US
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Telephone | 786-269-2399
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Fax | 305-354-8400
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Provider Business Mailing Address
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Address Line | 1820 NE 163RD ST SUITE 204
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City | N MIAMI BEACH
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State | FL
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Zip | 33162-4801
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Country | US
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Telephone | 786-269-2399
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Fax | 305-354-8400
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SOPHIA REKBLATT
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Credential |
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Telephone | 786-269-2399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 19966270
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License Number State | FL
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